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Willard Scott BirthdayWedding Anniversary Request for On-Air free printable template

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Last updated May 12, 2026 · Reviewed by pdfFiller editorial team

Key takeaways

Fill, sign, and submit Willard Scott BirthdayWedding Anniversary Request for On-Air from any browser — or have AI generate a custom version in seconds. No installs, no printing, no back-and-forth.

  • The Willard Scott Birthday/Wedding Anniversary Request Form is used to submit a request for an on-air announcement on the TODAY Show.
  • This form is specifically for individuals reaching their 100th birthday or couples celebrating 75 years or more of marriage.
  • Applicants must provide the celebrant's full name, the milestone date, and the current address where they reside.
  • The request includes personal details such as the celebrant's hobbies and their unique secrets to longevity.
  • Contact information for a designated person must be included so the show can reach out regarding the milestone request.
  • No signature is required to complete or submit this personal milestone announcement form.

What is Willard Scott BirthdayWedding Anniversary Request for On-Air?

Willard Scott Birthday/Wedding Anniversary Request Form is a document used to request an on-air milestone announcement on the TODAY Show. It is specifically designed for individuals reaching their 100th birthday or couples celebrating a wedding anniversary of 75 years or more. This today show recognition form serves as a personal milestone announcement, allowing families and friends to share significant life achievements with a national audience. The submission process helps the program identify centenarians and long-married couples who embody remarkable longevity and commitment through their personal stories.

The document captures essential details about the celebrant, including their full name and the specific date of the upcoming birthday or anniversary. It also collects the celebrant's address and the contact information of a person who can be reached regarding the transaction. Beyond basic logistics, the form asks for more personal insights, such as the celebrant's hobbies and their unique secrets to longevity. These details provide context for the announcement, highlighting the personality and experiences of the individuals being recognized during the broadcast.

TODAY Show

Who needs the Willard Scott BirthdayWedding Anniversary Request for On-Air — and who doesn't

Not everyone files Willard Scott BirthdayWedding Anniversary Request for On-Air. The checklist below tells you whether it applies to your situation — and points you to the right alternative if it doesn't.

You need this Willard Scott BirthdayWedding Anniversary Request for On-Air if…

  • you are an individual celebrating your 100th birthday.
  • you are part of a couple celebrating a wedding anniversary of 75 years or more.
  • you wish to submit a request for an on-air recognition of these milestones on the TODAY Show.

You do not need this Willard Scott BirthdayWedding Anniversary Request for On-Air if…

  • you are celebrating a birthday younger than 100 or a wedding anniversary of less than 75 years.
  • you do not want to be featured in a televised recognition segment for your personal milestone.

Why you need the Willard Scott BirthdayWedding Anniversary Request for On-Air

Why people fill out Willard Scott BirthdayWedding Anniversary Request for On-Air, and what tends to go wrong when they don't.

  • National Recognition Submitting this form allows individuals celebrating their 100th birthday or couples reaching their 75th anniversary to request a special on-air announcement during a broadcast of the TODAY Show.
  • Share Life Lessons The document provides a dedicated space to record personal details such as hobbies and secrets to longevity, ensuring these unique insights are shared alongside the milestone celebration details.
  • Formal Milestone Submission Use this specialized personal form to organize all necessary contact information and celebration dates into a single document, ensuring the TODAY Show staff receives clear and accurate event details.
  • Streamlined Digital Completion You can easily fill and edit this request in your browser using pdfFiller. The platform allows you to save, download, or share the finished PDF with family members before submission.

What each section of Willard Scott BirthdayWedding Anniversary Request for On-Air means

Every section explained — what it's asking, the records you'll need on hand, and the mistakes that most often cause a rejection or follow-up request.

Celebrant's Full Name Provide the first and last name of the individual celebrating a 100th birthday or the couple marking a 75th wedding anniversary for the announcement.
Celebration Type Selection Indicate whether the request is being submitted for a centenarian's birthday or a couple's 75th wedding anniversary to ensure the correct milestone is recognized.
Milestone Event Date Enter the specific calendar date of the birthday or wedding anniversary to help the program schedule the announcement for the appropriate broadcast window.
Celebrant Mailing Address Input the full residential address of the individual or couple being honored to establish their location for the requested television recognition.
Personal Hobbies List List various activities, interests, or pastimes the celebrant enjoys, providing personal context and interesting details for the potential on-air shout-out.
Longevity Secret Details Describe the celebrant’s personal advice or secrets for living a long life or maintaining a long-lasting marriage for sharing during the milestone segment.
Primary Contact Information Provide the name and contact details for a person who can be reached to discuss the request or provide additional information about the celebrants.

How to fill out Willard Scott BirthdayWedding Anniversary Request for On-Air using pdfFiller

A walkthrough from the first field to the signature line. With your records in front of you, most people finish in under ten minutes.

  1. Open the Form Click Get Form to open Willard Scott Birthday/Wedding Anniversary Request Form in the pdfFiller editor to start customizing your submission and adding all required personal information.
  2. Provide Celebrant Name Click on the designated text field for the Celebrant's First & Last Name and type the full legal name of the individual or the couple being honored.
  3. Select Celebration Type Use the selection tool to indicate whether the request is for a birthday or a wedding anniversary announcement form to ensure the correct milestone is properly acknowledged.
  4. Enter Milestone Date Click the date field and type the specific date of the upcoming 100th birthday or use the 75 year wedding anniversary form date for the celebrants.
  5. Input Address Information Navigate to the address section and type the celebrant's full residential address to provide the necessary location details for the request within the digital editing interface.
  6. Add Personal Details Fill in the sections for the celebrant's hobbies and their secrets to longevity by clicking each field and typing the relevant personal stories or interesting celebratory facts.
  7. Provide Contact Information Click the section for contact information and enter the details for the person to be reached, ensuring all required information for verification is provided in the editor.
  8. Review and Save Carefully review your entries, then click Done to save your document. You can download the PDF or share it via email using pdfFiller’s secure online platform.

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Key terms used in Willard Scott BirthdayWedding Anniversary Request for On-Air

A one-sentence glossary of the Willard Scott BirthdayWedding Anniversary Request for On-Air terms and concepts you'll see throughout this guide.

Celebrant
The individual or couple reaching a significant life milestone, such as a 100th birthday or 75th wedding anniversary.
Centenarian
An individual who has reached the age of 100 years, qualifying them for a birthday recognition request.
Longevity
The length of a person's life or a couple's marriage, often including shared advice for living a long life.
Personal Milestone
A significant event, such as a 100th birthday or 75th anniversary, submitted for national media recognition.
Wedding Anniversary
The annual celebration of a marriage date, specifically requiring seventy-five years of marriage for this submission.

Frequently asked questions about Willard Scott BirthdayWedding Anniversary Request for On-Air

Quick answers to the questions we hear most often about completing the Willard Scott BirthdayWedding Anniversary Request for On-Air.

Individuals celebrating their 100th birthday or couples who have been married for at least 75 years are eligible to use this form. This document is specifically designed for these significant personal milestones to be considered for recognition on the TODAY Show. It serves as a formal request for an on-air announcement of these impressive centenarian and long-term marriage achievements.

The form requires the celebrant's full name, the type of celebration, the specific date of the event, their address, hobbies, and secrets to longevity. Additionally, you must provide contact information for a person who can be reached regarding the request. These details help the production team prepare a personalized announcement for the milestone celebration during the broadcast.

No, this request form does not require a signature from the celebrants or the person submitting the request. Because it is an informational request for a television announcement rather than a legal affidavit, you can simply complete the required fields without needing to provide a formal or legally binding signature before submission for consideration.

This form is used exclusively for 100th birthday celebrations and wedding anniversaries of 75 years or more. It is intended for individuals and couples reaching these rare and notable milestones who wish to be recognized publicly. The information provided, such as hobbies and longevity secrets, adds a personal touch to the potential on-air announcement for viewers.

You can fill out, edit, and manage the Willard Scott Birthday/Wedding Anniversary Request Form using pdfFiller's online platform. This platform allows you to complete the document in your web browser, save the finished PDF, and share it via link or email. It provides a convenient way to organize your submission details and keep a secure copy.

The form asks for the celebrant's hobbies and their personal secrets to longevity to provide background for the announcement. These fields allow the TODAY Show to share unique insights about the individual or couple being honored. Providing these details ensures that the recognition is more than just a name and date, highlighting the celebrant's unique personality.

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